SAMPLE LETTER TO BE PRODUCED ON DEPARTMENT LETTERHEAD
FOR J-2 TRAVEL PURPOSES
To Whom It May Concern:
This is to certify that (name of J-1) is currently engaged in (list activity i.e., research,
observation, etc.) in J-1 non-immigrant status under my supervision in the Department of (please
complete). Dr./Ms./Mr. receives an annual salary of (please complete) from (please list source
of funding Jefferson University, name of other sponsoring agency, personal funds, etc.).
Dr./Mr./Ms. (name(s) of J-2) is/are the J-2 dependent of (name of J-1) will be traveling to (name
of country), from (date) to (date), in order to (state purpose of travel, i.e., attend conference, visit
family). Dr./Mr./Mrs. (name(s) of J-2) is expected to return to continue his/her activities as
stated on his/her Form DS-2019 issued under the sponsorship of program number P-1-03534.
Thank you for your attention to this matter.
Sincerely,
(name & title of supervisor)